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Interactions between remote ischemic conditioning and post-stroke sleep regulation

查看全文 作  者:Xian [1]Wang;Xunming [1,2]Ji 高影响力作者 机构地区:[1]Beijing Institute of Brain Disorders,Laboratory of Brain Disorders,Ministry of Science and Technology,Collaborative Innovation Center for Brain Disorders,Capital Medical University,Beijing,100069,China;[2]Beijing Key Laboratory of Hypoxia Conditioning Translational Medicine,Beijing,100069,China高影响力机构 出  处:《Frontiers of Medicine》索引2021年第15卷第6期,共10页高影响力期刊 基  金:supported by the National Key R&D Program of China(No.2017YFC1308401);the Talent Introduction Project of the Beijing Bureau of Foreign Expert(No.BJ2018001). 摘  要:Sleep disturbances are common in patients with stroke,and sleep quality has a critical role in the onset and outcome of stroke.Poor sleep exacerbates neurological injury,impedes nerve regeneration,and elicits serious complications.Thus,exploring a therapy suitable for patients with stroke and sleep disturbances is imperative.As a multi-targeted nonpharmacological intervention,remote ischemic conditioning can reduce the ischemic size of the brain,improve the functional outcome of stroke,and increase sleep duration.Preclinical/clinical evidence showed that this method can inhibit the inflammatory response,mediate the signal transductions of adenosine,activate the efferents of the vagal nerve,and reset the circadian clocks,all of which are involved in sleep regulation.In particular,cytokines tumor necrosis factorα(TNFα)and adenosine are sleep factors,and electrical vagal nerve stimulation can improve insomnia.On the basis of the common mechanisms of remote ischemic conditioning and sleep regulation,a causal relationship was proposed between remote ischemic conditioning and post-stroke sleep quality. 关 键 词:remote ischemic conditioning sleep regulation STROKE
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